AFFIX PASSPORT

PHOTO
HERE
BUY-BACK INVESTMENT APPLICATION FORM
Please write your full
name on the reverse
side of your passport

PERSONAL DETAILS photography

Title: Surname:

First Name: Other Name:

Marital Status: Maiden Name:

Date of Birth: DD / MM / YYYY Nationality:

Residential Address:

Mailing Address:

Email:

Mobile: Home Telephone:

COMPANY DETAILS (if applicable)

Company Name:

Company Address:

RC Number:

Telephone Number: Email:

NEXT OF KIN

Name:

Mobile: Email:

CURRENT EMPLOYMENT DETAILS

Employer: Designation:

Telephone: Address:

PLEASE, YOU ARE REQUIRED TO FILL ALL DETAILS IN THIS APPLICATION FORM.
Duration
Number of Plots:
6 months 18 months

12 months Account Details for Transfer

Account Number:
Mode
Mode Of
Of Payment
Payment At
At Maturity
Maturity
Account Name:
Cheque

Transfer Bank:

Agreement & Undertaking

Any withdrawal of my interest on the scheme paid for will attract 10% severance and 20% administrative
charged respectively. I have read and understood the terms and conditions herein stated and I agree.

Applicant's SignatureDate

IN THE PRESENCE OF
NAME:.....................................................................................................................

ADDRESS:................................................................................................................

OCCUPATION:.........................................................................................................

Witness' SignatureDate

FOR OFFICIAL USE ONLY

Consultant's Name:

Consultant's Mobile:

Consultant's Email:

Date Treated: DD / MM / YYYY

KM 42 Lekki - Epe Expressway, Opposite Former Mesia

Fueling Station, Beside Kingdom Hall Bus Stop, Abijo,
Lagos State, Nigeria.
+234 802 209 8561 +234 903 354 4682
www.vopnucity.com info@vopnucity.com
@vopnucitylimited @vopnucitylimited
 FAQ
FREQUENTLY ASKED
QUESTIONS ON BUY-
BACK INVESTMENT

What will Vopnucity Limited give me as a guarantee for my subscription

of the Buy Back Scheme?
You will be given:
⁃DEED OF BUYBACK SCHEME
⁃POST-DATED CHEQUE
⁃RECEIPT

IN CASE THAT THE POST DATED CHEQUE IS RETURNED TO THE OFFICE AFTER IT HAS BEEN
ISSUED AND PICKED UP, A PENALTY FEE WILL BE CHARGED.

Can I get an upfront payment?

Yes, 30% of the upfront payment can be paid after 3 months from the time of
investment.

Do you want an upfront payment? Yes No

Account Details for Upfront Payment

Account Number;

Account Name:

Bank:

Can I pay cash to your agent?

WE STRONGLY ADVISE THAT ALL PAYMENT SHOULD BE MADE TO VOPNU CITY LIMITED.
(ZENITH BANK - 1015499881, DIAMOND ACCESS - 0097878354).
Otherwise, Cheque(s) should be issued in favor of VOPNU CITY LIMITED.
The company shall not accept responsibility for any liability that may arise as a result of
deviation from the above instructions.

(Please, Fill and sign the column below to indicate you have read and understood the
contents of this document)

Subscribers Name.........................................................

Signature......................Date.........................